TYRA JAMEESE HICKS (NPI# 1437653649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437653649 |
| Entity Type | Individual |
| Full Name | TYRA JAMEESE HICKS |
| Credential | MA, QMHP |
| Practice Address |
410 Walnut St Petersburg VA 23803-5763 |
| Practice Telephone | 8048359959 |
| Mailing Telephone | 8043246514 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
410 WALNUT ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205152246 | Barbara Ann Brown | Case Manager/Care Coordinator | 9619 Graves Rd, Petersburg, VA 23803-1128 | 2010-04-15 |
| 1699002287 | Peggy Ann Floro | Case Manager/Care Coordinator | 22 South Sing Lee Alley, Petersburg, AK 99833 | 2009-11-03 |
| 1427676097 | Tamara Sue Alt | Case Manager/Care Coordinator | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-07-10 |
| 1821655069 | Valentina R Cole | Case Manager/Care Coordinator | 226 S Adams St, Petersburg, VA 23803-4537 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1639776974 | Ayana Capri Esau | Case Manager/Care Coordinator | 414 Taft Dr, Portsmouth, VA 23701-4160 | 2020-10-08 |
| 1023625811 | Tianca Harris | Case Manager/Care Coordinator | 6511 Glebe Point Rd, Chesterfield, VA 23838-6167 | 2020-09-26 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1477177129 | Catherine Darlene Taylor | Case Manager/Care Coordinator | 165 Belle Hollow Rd, Chilhowie, VA 24319-5575 | 2020-05-28 |
| 1821627308 | Graced LLC | Case Manager/Care Coordinator | 1101 Kruper Ave Apt A, Hopewell, VA 23860-6030 | 2020-04-06 |
| 1376179929 | Monique M Hower | Case Manager/Care Coordinator | 15611 Boydton Plank Rd, Dinwiddie, VA 23841-2543 | 2020-03-16 |
| 1184259517 | Sulma Stevens | Case Manager/Care Coordinator | 221 Farley Cir Apt 302, Winchester, VA 22601-6251 | 2020-03-05 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1386275758 | Jamie Vest | Case Manager/Care Coordinator | 207 14th St Nw Apt 21, Charlottesville, VA 22903-2739 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.